Most of the techniques you see advertised are ineffective, and some can damage your penis.

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But studies have shown that most men who think their penises are too small actually have normal-sized penises.

The fear that your penis looks too small or is too small to satisfy your partner during sex is common.

Suspensory ligamentThe need for penis-enlargement surgery is rare.

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Here are some of the most widely promoted products and techniques:Vacuum pumps.

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The solution to your concerns about penis size may be as easy as talking with your partner or getting in shape.

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A procedure to make the penis thicker involves taking fat from a fleshy part of the body and injecting it into the penis shaft.

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When the suspensory ligament is cut, the penis may look longer because more of it hangs outside the body.

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Tempted by products that claim to increase penis size? Get the facts about what to expect from male-enhancement pills, pumps, exercises and surgeries.

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Although this technique appears safer than other methods, there's no scientific proof it works, and it can lead to scar formation, pain and disfigurement.

A few small studies have reported length increases of half an inch to almost 2 inches (about 1 to 3 centimeters) with these devices.

Although some surgeons offer cosmetic penis enlargement using various techniques, it's controversial and considered by many to be unnecessary and in some cases permanently harmful.

Severing the suspensory ligament is sometimes combined with other procedures, such as removing excess fat over the pubic bone.

Larger, more-rigorous research is needed to establish safety and effectiveness.

But cutting the suspensory ligament can cause an erect penis to be unstable.

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There aren't enough studies of penis-enlargement surgery to give an accurate picture of risks and benefits.

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The length of a non-erect penis doesn't consistently predict length when the penis is erect.

Keep in mind that understanding your partner's needs and desires is more likely to improve your sexual relationship than changing the size of your penis.

Studies of available surgical techniques to lengthen the penis have found mixed results in safety, effectiveness and patient satisfaction.

None of these procedures has been proved safe or effective and can even affect potency and your ability to obtain an erection.

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These surgeries should be considered experimental.

This can lead to penile curvature or asymmetry and an irregular looking penis.

Companies offer many types of nonsurgical penis-enlargement treatments, and often promote them with serious-looking advertisements that include endorsements from "scientific" researchers.

But using one too often or too long can damage elastic tissue in the penis, leading to less firm erections.

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Most advertised penis-enlargement methods are ineffective, and some can cause permanent damage to your penis.

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The most widely used surgical procedure to lengthen the penis involves severing the suspensory ligament that attaches the penis to the pubic bone and moving skin from the abdomen to the penile shaft.

Sometimes called jelqing, these exercises use a hand-over-hand motion to push blood from the base to the head of the penis.

At best, surgery such as division of the suspensory ligament may add half an inch (1 centimeter) to the appearance of the flaccid penis but does not change actual length of the penis.

Because pumps draw blood into the penis, making it swell, they're sometimes used to treat erectile dysfunction.

Although there's no guaranteed safe and effective way to enlarge your penis, there are a few things you can do if you're concerned about your penis size.

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If those steps don't help, try talking with a professional counselor about your concerns.

A plethora of pumps, pills, weights, exercises and surgeries claim to increase the length and width of your penis.

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Results may be disappointing, however, because some of the injected fat may be reabsorbed by the body.

A penis is considered abnormally small only if it measures less than 3 inches (about 5 centimeters) when erect, a condition called micropenis.